NPI | 1760614200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 082516) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 56205) |
Enumeration Date | 2009-08-18 |
Last Update Date | 2009-10-14 |